HL7 Europe Hospital Discharge Report
1.0.0-alpha - qa-preview 150

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-alpha built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

## : Bundle: complete HL7 Europe Hospital Discharge Report (1) - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix sct: <http://snomed.info/id/> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Bundle ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "HDR-Luigi-De-Luca-Example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr"^^xsd:anyURI ;
    fhir:l <http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr>     ] )
      ] ; #
      fhir:identifier [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>         ] ;
    fhir:code [ fhir:v "PRN" ]       ] )     ] ;
    fhir:system [
    fhir:v "https://hl7europe.org/example-identifier"^^xsd:anyURI ;
    fhir:l <https://hl7europe.org/example-identifier>     ] ;
    fhir:value [ fhir:v "b6b4291d-4f78-4c5e-a8e6-c4355c1cc4f5" ]
      ] ; #
      fhir:type [ fhir:v "document"] ; #
      fhir:timestamp [ fhir:v "2025-04-29T14:00:00Z"^^xsd:dateTime] ; #
      fhir:entry ( [
    fhir:fullUrl [
    fhir:v "urn:uuid:b9dc409d-ec81-4556-9fac-4dc3f731c199"^^xsd:anyURI ;
    fhir:l <urn:uuid:b9dc409d-ec81-4556-9fac-4dc3f731c199>     ] ;
        ( fhir:resource <urn:uuid:b9dc409d-ec81-4556-9fac-4dc3f731c199> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0"^^xsd:anyURI ;
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0>     ] ;
        ( fhir:resource <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d"^^xsd:anyURI ;
    fhir:l <urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d>     ] ;
        ( fhir:resource <urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9"^^xsd:anyURI ;
    fhir:l <urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9>     ] ;
        ( fhir:resource <urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"^^xsd:anyURI ;
    fhir:l <urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95>     ] ;
        ( fhir:resource <urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38"^^xsd:anyURI ;
    fhir:l <urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38>     ] ;
        ( fhir:resource <urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9"^^xsd:anyURI ;
    fhir:l <urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9>     ] ;
        ( fhir:resource <urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3"^^xsd:anyURI ;
    fhir:l <urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3>     ] ;
        ( fhir:resource <urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"^^xsd:anyURI ;
    fhir:l <urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0>     ] ;
        ( fhir:resource <urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3"^^xsd:anyURI ;
    fhir:l <urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3>     ] ;
        ( fhir:resource <urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079"^^xsd:anyURI ;
    fhir:l <urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079>     ] ;
        ( fhir:resource <urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085"^^xsd:anyURI ;
    fhir:l <urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085>     ] ;
        ( fhir:resource <urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a"^^xsd:anyURI ;
    fhir:l <urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a>     ] ;
        ( fhir:resource <urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a"^^xsd:anyURI ;
    fhir:l <urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a>     ] ;
        ( fhir:resource <urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:065c918f-730a-47f8-938a-7ad54618037b"^^xsd:anyURI ;
    fhir:l <urn:uuid:065c918f-730a-47f8-938a-7ad54618037b>     ] ;
        ( fhir:resource <urn:uuid:065c918f-730a-47f8-938a-7ad54618037b> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b"^^xsd:anyURI ;
    fhir:l <urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b>     ] ;
        ( fhir:resource <urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363"^^xsd:anyURI ;
    fhir:l <urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363>     ] ;
        ( fhir:resource <urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d"^^xsd:anyURI ;
    fhir:l <urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d>     ] ;
        ( fhir:resource <urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"^^xsd:anyURI ;
    fhir:l <urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6>     ] ;
        ( fhir:resource <urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4"^^xsd:anyURI ;
    fhir:l <urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4>     ] ;
        ( fhir:resource <urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4> )
      ] ) . #

    <urn:uuid:b9dc409d-ec81-4556-9fac-4dc3f731c199> a fhir:Composition ;
      fhir:id [ fhir:v "b9dc409d-ec81-4556-9fac-4dc3f731c199"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr"^^xsd:anyURI ;
    fhir:l <http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_b9dc409d-ec81-4556-9fac-4dc3f731c199\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition b9dc409d-ec81-4556-9fac-4dc3f731c199</b></p><a name=\"b9dc409d-ec81-4556-9fac-4dc3f731c199\"> </a><a name=\"hcb9dc409d-ec81-4556-9fac-4dc3f731c199\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-composition-eu-hdr.html\">Composition (HDR)</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 34105-7}\">Hospital Discharge summary</span></p><p><b>encounter</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-7c9a2bf1-507f-4d43-b06e-d78e9670379d\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); serviceType = Diabetes mellitus screening (procedure); period = 2025-04-01 08:45:00+0000 --&gt; 2025-04-10 11:00:00+0000; reasonCode = Prediabetes (finding)</a></p><p><b>date</b>: 2025-04-29 13:30:00+0100</p><p><b>author</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-74403dd8-bb1b-45f9-bb69-e843dfaf45e9\">PractitionerRole</a></p><p><b>title</b>: Hospital Discharge Report</p><p><b>custodian</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-a61a91f8-b8f2-4947-9a64-5165ea380a38\">Organization Casa di cura Villa S. Giuliana</a></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:type [
        ( fhir:coding [
    a loinc:34105-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "34105-7" ] ;
    fhir:display [ fhir:v "Hospital Discharge summary" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:encounter [
    fhir:l <urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d> ;
    fhir:reference [ fhir:v "urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d" ]
      ] ; #
      fhir:date [ fhir:v "2025-04-29T13:30:00+01:00"^^xsd:dateTime] ; #
      fhir:author ( [
    fhir:l <urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9> ;
    fhir:reference [ fhir:v "urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9" ]
      ] ) ; #
      fhir:title [ fhir:v "Hospital Discharge Report"] ; #
      fhir:custodian [
    fhir:l <urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38> ;
    fhir:reference [ fhir:v "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38" ]
      ] ; #
      fhir:section ( [
    fhir:title [ fhir:v "Admission evaluation" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:67851-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "67851-6" ]       ] [
    a loinc:67852-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "67852-4" ] ;
    fhir:display [ fhir:v "Hospital Admission evaluation note" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Mr. Luigi De Luca, a 57-year-old male, was admitted on 1st April following a pre-diabetic episode characterized by episodes of fatigue, polyuria, and increased thirst. Recent routine blood tests showed elevated fasting blood glucose and HbA1c levels that required further investigation.<p/>When Mr De Luca arrived in the morning we recorded a fasting blood glucose level at 180 mg/dL. His HbA1c level was 7.8%. He seemed to be dehydrated, so that he immediately was sent to the ward for a full breakfast and fluid substitution.</div>"^^rdf:XMLLiteral ]     ]
      ] [
    fhir:title [ fhir:v "Family History" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:10157-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "10157-6" ] ;
    fhir:display [ fhir:v "History of family member diseases note" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Mr. Luigi has a family history of diabetes (type 2, mother and maternal grandmother).</div>"^^rdf:XMLLiteral ]     ] ;
        ( fhir:entry [
    fhir:l <urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085> ;
    fhir:reference [ fhir:v "urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085" ]     ] [
    fhir:l <urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a> ;
    fhir:reference [ fhir:v "urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a" ]     ] )
      ] [
    fhir:title [ fhir:v "Vital signs note" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:8716-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "8716-3" ] ;
    fhir:display [ fhir:v "Vital signs note" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><thead><tr><th>Vital signs</th><th>1st April</th><th>10th April</th></tr></thead><tbody><tr><td>Body weight</td><td>109 kg</td><td>108 kg</td></tr><tr><td>Body height</td><td>177 cm</td><td/></tr><tr><td>Blood Pressure</td><td>155 / 95 mmHg</td><td>150 / 90 mmHg</td></tr></tbody></table></div>"^^rdf:XMLLiteral ]     ] ;
        ( fhir:entry [
    fhir:l <urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a> ;
    fhir:reference [ fhir:v "urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a" ]     ] [
    fhir:l <urn:uuid:065c918f-730a-47f8-938a-7ad54618037b> ;
    fhir:reference [ fhir:v "urn:uuid:065c918f-730a-47f8-938a-7ad54618037b" ]     ] [
    fhir:l <urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b> ;
    fhir:reference [ fhir:v "urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b" ]     ] [
    fhir:l <urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363> ;
    fhir:reference [ fhir:v "urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363" ]     ] [
    fhir:l <urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d> ;
    fhir:reference [ fhir:v "urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d" ]     ] )
      ] [
    fhir:title [ fhir:v "Tobacco use" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:11367-0 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "11367-0" ] ;
    fhir:display [ fhir:v "History of Tobacco use" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">The patient smokes \"a few\" cigarettes per day.</div>"^^rdf:XMLLiteral ]     ] ;
        ( fhir:entry [
    fhir:l <urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6> ;
    fhir:reference [ fhir:v "urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6" ]     ] )
      ] [
    fhir:title [ fhir:v "Hospital course note" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:8648-8 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "8648-8" ] ;
    fhir:display [ fhir:v "Hospital course note" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">During the hospital stay from 1 to 10 April, Mr. De Luca underwent a series of diagnostic tests, consultations and initial treatment.<p/>Throughout his hospital stay, Mr. De Luca was monitored closely. His blood sugar levels improved modestly with the introduction of Metformin, and no acute complications were observed.</div>"^^rdf:XMLLiteral ]     ]
      ] [
    fhir:title [ fhir:v "Significant Observation Results" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:30954-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "30954-2" ] ;
    fhir:display [ fhir:v "Relevant diagnostic tests/laboratory data note" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Blood Glucose Monitoring Regular monitoring of fasting blood glucose levels and random blood glucose levels. Fasting glucose levels consistently ranged between 140-180 mg/dL.<table class=\"hl7__hdr\"><thead><tr><th>Date</th><th>Fasting glucose [Moles/volume] in Blood</th><th>Range</th></tr></thead><tbody><tr><td>1 April 2025</td><td>180 mg/dL</td><td>70 to 99 mg/dL</td></tr><tr><td>2 April 2025</td><td>140 mg/dL</td><td>70 to 99 mg/dL</td></tr><tr><td>3 April 2025</td><td>150 mg/dL</td><td>70 to 99 mg/dL</td></tr><tr><td>5 April 2025</td><td>140 mg/dL</td><td>70 to 99 mg/dL</td></tr></tbody></table>HbA1c Test: An HbA1c level of 7.2%, confirming the diagnosis of Type 2 Diabetes Mellitus.<table class=\"hl7__hdr\"><thead><tr><th>Date</th><th>Hemoglobin A1c [Mass/volume] in Blood</th><th>Range</th></tr></thead><tbody><tr><td>1 April 2025</td><td>7.2%</td><td>&lt; 5.7%</td></tr></tbody></table>Oral Glucose Tolerance Test (OGTT): This test further confirmed impaired glucose tolerance.<table class=\"hl7__hdr\"><thead><tr><th>Date</th><th>Glucose [Mass/volume] in Serum or Plasma --1 hour post dose glucose</th><th>Range</th></tr></thead><tbody><tr><td>2 April 2025</td><td>180 mg/dL</td><td>70 to 99 mg/dL</td></tr></tbody></table></div>"^^rdf:XMLLiteral ]     ]
      ] [
    fhir:title [ fhir:v "Significant procedures" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:10185-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "10185-7" ] ;
    fhir:display [ fhir:v "Hospital discharge procedure note" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Lifestyle Consultation: Mr. De Luca met with a dietitian to discuss necessary changes in his diet, focusing on a low glycemic index diet and the need to monitor carbohydrate intake. He was also advised to engage in regular physical activity.<p/>Diabetes Education: Mr. De Luca attended educational sessions on diabetes management, including the importance of regular blood sugar monitoring, recognizing hypoglycemia and hyperglycemia symptoms, and foot care.<p/>Starting Pharmacotherapy with Metformin.</div>"^^rdf:XMLLiteral ]     ] ;
        ( fhir:entry [
    fhir:l <urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0> ;
    fhir:reference [ fhir:v "urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0" ]     ] [
    fhir:l <urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3> ;
    fhir:reference [ fhir:v "urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3" ]     ] [
    fhir:l <urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079> ;
    fhir:reference [ fhir:v "urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079" ]     ] )
      ] [
    fhir:title [ fhir:v "Medications" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:87232-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "87232-5" ] ;
    fhir:display [ fhir:v "Medication administration.brief" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Metformin 500 mg twice daily was started as the first-line treatment to help control blood glucose levels.<table class=\"hl7__hdr\"><thead><tr><th>Medication administrations</th><th>Dose/Frequency</th><th>SNOMED</th></tr></thead><tbody><tr><td>Metformin, oral tbl</td><td>500 mg, twice / day</td><td>765507008</td></tr><tr><td>Multivitamines</td><td>daily</td><td/></tr></tbody></table></div>"^^rdf:XMLLiteral ]     ] ;
        ( fhir:entry [
    fhir:l <urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4> ;
    fhir:reference [ fhir:v "urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4" ]     ] )
      ] [
    fhir:title [ fhir:v "Follow-up" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:18776-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "18776-5" ] ;
    fhir:display [ fhir:v "Plan of care note" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><thead><tr><th>Follow-up</th><th>Activity</th><th>SNOMED</th></tr></thead><tbody><tr><td>Endocrinology Clinic</td><td>Follow-up appointment in 2 weeks to assess response to treatment</td><td>306118006 Referral to endocrinology service (procedure)</td></tr><tr><td>Dietitian Consultation</td><td>Appointment in 1 month for further dietary planning</td><td>103699006 Referral to dietitian (procedure)</td></tr><tr><td>Routine Blood tests</td><td>Repeat HbA1c in 3 months</td><td>43396009 Hemoglobin A1c measurement (procedure)</td></tr></tbody></table></div>"^^rdf:XMLLiteral ]     ] ;
        ( fhir:entry [
    fhir:l <urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3> ;
    fhir:reference [ fhir:v "urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3" ]     ] )
      ] [
    fhir:title [ fhir:v "Diagnosis at Discharge" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:11535-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "11535-2" ] ;
    fhir:display [ fhir:v "Hospital discharge diagnosis note" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><thead><tr><th>Discharge Diagnoses</th><th>Codes</th></tr></thead><tbody><tr><td>Type 2 Diabetes Mellitus – Newly diagnosed.</td><td><ul><li>Type 2 diabetes mellitus E11 (ICD-10)</li><li>Diabetes mellitus type 2 (disorder) 44054006 (SNOMED)</li></ul></td></tr></tbody></table></div>"^^rdf:XMLLiteral ]     ] ;
        ( fhir:entry [
    fhir:l <urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9> ;
    fhir:reference [ fhir:v "urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9" ]     ] )
      ] [
    fhir:title [ fhir:v "Hospital Discharge Instructions" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:8653-8 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "8653-8" ] ;
    fhir:display [ fhir:v "Hospital Discharge Instructions" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Instructions at Discharge to Mr. De Luca<ul><li>Continue home glucose monitoring and to maintain a log for review at follow-up appointments.</li><li>Continue with the prescribed medication and lifestyle changes.</li><li>Monitor blood sugar levels at home regularly.</li><li>Adhere to the diabetic diet plan.</li><li>Stay physically active, with at least 30 minutes of moderate exercise most days of the week.</li><li>Return to the emergency department for any signs of hyperglycemia (e.g., excessive thirst, urination, confusion) or hypoglycemia (e.g., sweating, shakiness, confusion).</li></ul></div>"^^rdf:XMLLiteral ]     ]
      ] ) . #

    <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> a fhir:Patient ;
      fhir:id [ fhir:v "b01a2623-e219-41d2-8e78-1fa1439751d0"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_b01a2623-e219-41d2-8e78-1fa1439751d0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient b01a2623-e219-41d2-8e78-1fa1439751d0</b></p><a name=\"b01a2623-e219-41d2-8e78-1fa1439751d0\"> </a><a name=\"hcb01a2623-e219-41d2-8e78-1fa1439751d0\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Medical record number/8121c77e7bf9</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"tel:+3903348920354\">+39 0334 8920354</a></li><li>Via Zannoni 29 Serso 38057 Italy (home)</li></ul></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>         ] ;
    fhir:code [ fhir:v "NI" ]       ] )     ] ;
    fhir:system [
    fhir:v "https://hl7europe.org/example-identifier"^^xsd:anyURI ;
    fhir:l <https://hl7europe.org/example-identifier>     ] ;
    fhir:value [ fhir:v "3332-386800-1" ]
      ] [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>         ] ;
    fhir:code [ fhir:v "MR" ]       ] )     ] ;
    fhir:system [
    fhir:v "https://hl7europe.org/example-identifier"^^xsd:anyURI ;
    fhir:l <https://hl7europe.org/example-identifier>     ] ;
    fhir:value [ fhir:v "8121c77e7bf9" ]
      ] ) ; #
      fhir:name ( [
    fhir:text [ fhir:v "Luigi De Luca" ] ;
    fhir:family [ fhir:v "De Luca" ] ;
        ( fhir:given [ fhir:v "Luigi" ] )
      ] ) ; #
      fhir:telecom ( [
    fhir:system [ fhir:v "phone" ] ;
    fhir:value [ fhir:v "+39 0334 8920354" ]
      ] ) ; #
      fhir:gender [ fhir:v "male"] ; #
      fhir:birthDate [ fhir:v "1966-09-30"^^xsd:date] ; #
      fhir:address ( [
    fhir:use [ fhir:v "home" ] ;
    fhir:type [ fhir:v "physical" ] ;
        ( fhir:line [ fhir:v "Via Zannoni 29" ] ) ;
    fhir:city [ fhir:v "Serso" ] ;
    fhir:postalCode [ fhir:v "38057" ] ;
    fhir:country [ fhir:v "Italy" ]
      ] ) . #

    <urn:uuid:7c9a2bf1-507f-4d43-b06e-d78e9670379d> a fhir:Encounter ;
      fhir:id [ fhir:v "7c9a2bf1-507f-4d43-b06e-d78e9670379d"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"^^xsd:anyURI ;
    fhir:l <http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_7c9a2bf1-507f-4d43-b06e-d78e9670379d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 7c9a2bf1-507f-4d43-b06e-d78e9670379d</b></p><a name=\"7c9a2bf1-507f-4d43-b06e-d78e9670379d\"> </a><a name=\"hc7c9a2bf1-507f-4d43-b06e-d78e9670379d\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-encounter-eu-hdr.html\">Encounter (HDR)</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>serviceType</b>: <span title=\"Codes:{http://snomed.info/sct 171183004}\">Diabetes mellitus screening (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>period</b>: 2025-04-01 08:45:00+0000 --&gt; 2025-04-10 11:00:00+0000</p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 714628002}\">Prediabetes (finding)</span></p><p><b>serviceProvider</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-a61a91f8-b8f2-4947-9a64-5165ea380a38\">Organization Casa di cura Villa S. Giuliana</a></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "finished"] ; #
      fhir:class [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode>     ] ;
    fhir:code [ fhir:v "IMP" ]
      ] ; #
      fhir:serviceType [
        ( fhir:coding [
    a sct:171183004 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "171183004" ] ;
    fhir:display [ fhir:v "Diabetes mellitus screening (procedure)" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2025-04-01T08:45:00Z"^^xsd:dateTime ] ;
    fhir:end [ fhir:v "2025-04-10T11:00:00Z"^^xsd:dateTime ]
      ] ; #
      fhir:reasonCode ( [
        ( fhir:coding [
    a sct:714628002 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "714628002" ] ;
    fhir:display [ fhir:v "Prediabetes (finding)" ]     ] )
      ] ) ; #
      fhir:serviceProvider [
    fhir:l <urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38> ;
    fhir:reference [ fhir:v "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38" ]
      ] . #

    <urn:uuid:74403dd8-bb1b-45f9-bb69-e843dfaf45e9> a fhir:PractitionerRole ;
      fhir:id [ fhir:v "74403dd8-bb1b-45f9-bb69-e843dfaf45e9"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_74403dd8-bb1b-45f9-bb69-e843dfaf45e9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole 74403dd8-bb1b-45f9-bb69-e843dfaf45e9</b></p><a name=\"74403dd8-bb1b-45f9-bb69-e843dfaf45e9\"> </a><a name=\"hc74403dd8-bb1b-45f9-bb69-e843dfaf45e9\"> </a><p><b>practitioner</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-0710d9e7-3f1a-4e16-a9b3-5c991fe23c95\">Practitioner Augusto Zucchero-Combattente </a></p><p><b>organization</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-a61a91f8-b8f2-4947-9a64-5165ea380a38\">Organization Casa di cura Villa S. Giuliana</a></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:practitioner [
    fhir:l <urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95> ;
    fhir:reference [ fhir:v "urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95" ]
      ] ; #
      fhir:organization [
    fhir:l <urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38> ;
    fhir:reference [ fhir:v "urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38" ]
      ] . #

    <urn:uuid:0710d9e7-3f1a-4e16-a9b3-5c991fe23c95> a fhir:Practitioner ;
      fhir:id [ fhir:v "0710d9e7-3f1a-4e16-a9b3-5c991fe23c95"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_0710d9e7-3f1a-4e16-a9b3-5c991fe23c95\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 0710d9e7-3f1a-4e16-a9b3-5c991fe23c95</b></p><a name=\"0710d9e7-3f1a-4e16-a9b3-5c991fe23c95\"> </a><a name=\"hc0710d9e7-3f1a-4e16-a9b3-5c991fe23c95\"> </a><p><b>name</b>: Augusto Zucchero-Combattente </p><p><b>telecom</b>: <a href=\"mailto:augusto@casasgiuliana.osp.venetia.it\">augusto@casasgiuliana.osp.venetia.it</a></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:name ( [
    fhir:family [ fhir:v "Zucchero-Combattente" ] ;
        ( fhir:given [ fhir:v "Augusto" ] ) ;
        ( fhir:prefix [ fhir:v "dr" ] )
      ] ) ; #
      fhir:telecom ( [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "augusto@casasgiuliana.osp.venetia.it" ]
      ] ) . #

    <urn:uuid:a61a91f8-b8f2-4947-9a64-5165ea380a38> a fhir:Organization ;
      fhir:id [ fhir:v "a61a91f8-b8f2-4947-9a64-5165ea380a38"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_a61a91f8-b8f2-4947-9a64-5165ea380a38\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization a61a91f8-b8f2-4947-9a64-5165ea380a38</b></p><a name=\"a61a91f8-b8f2-4947-9a64-5165ea380a38\"> </a><a name=\"hca61a91f8-b8f2-4947-9a64-5165ea380a38\"> </a><p><b>name</b>: Casa di cura Villa S. Giuliana</p><p><b>address</b>: Verona 37128 it </p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:name [ fhir:v "Casa di cura Villa S. Giuliana"] ; #
      fhir:address ( [
    fhir:city [ fhir:v "Verona" ] ;
    fhir:postalCode [ fhir:v "37128" ] ;
    fhir:country [ fhir:v "it" ]
      ] ) . #

    <urn:uuid:a5bf69e4-24db-48a8-9eda-71516dcaf1d9> a fhir:Condition ;
      fhir:id [ fhir:v "a5bf69e4-24db-48a8-9eda-71516dcaf1d9"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"^^xsd:anyURI ;
    fhir:l <http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_a5bf69e4-24db-48a8-9eda-71516dcaf1d9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition a5bf69e4-24db-48a8-9eda-71516dcaf1d9</b></p><a name=\"a5bf69e4-24db-48a8-9eda-71516dcaf1d9\"> </a><a name=\"hca5bf69e4-24db-48a8-9eda-71516dcaf1d9\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/xtehr/StructureDefinition-condition-eu-core.html\">Condition (EU core)</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 E11}, {http://snomed.info/sct 44054006}\">Type 2 diabetes mellitus</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>onset</b>: 2025-04-04</p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:clinicalStatus [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-clinical>       ] ;
    fhir:code [ fhir:v "active" ]     ] )
      ] ; #
      fhir:code [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/icd-10>       ] ;
    fhir:code [ fhir:v "E11" ] ;
    fhir:display [ fhir:v "Type 2 diabetes mellitus" ]     ] [
    a sct:44054006 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "44054006" ] ;
    fhir:display [ fhir:v "Diabetes mellitus type 2 (disorder)" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:onset [
    a fhir:DateTime ;
    fhir:v "2025-04-04"^^xsd:date
      ] . #

    <urn:uuid:b84038f8-9541-4c5b-93b0-a7f1b8e55bd3> a fhir:CarePlan ;
      fhir:id [ fhir:v "b84038f8-9541-4c5b-93b0-a7f1b8e55bd3"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.eu/fhir/hdr/StructureDefinition/carePlan-eu-hdr"^^xsd:anyURI ;
    fhir:l <http://hl7.eu/fhir/hdr/StructureDefinition/carePlan-eu-hdr>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_b84038f8-9541-4c5b-93b0-a7f1b8e55bd3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan b84038f8-9541-4c5b-93b0-a7f1b8e55bd3</b></p><a name=\"b84038f8-9541-4c5b-93b0-a7f1b8e55bd3\"> </a><a name=\"hcb84038f8-9541-4c5b-93b0-a7f1b8e55bd3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-carePlan-eu-hdr.html\">Care Plan (HDR)</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 736284000}\">Diabetes clinical management plan</span></p><p><b>title</b>: Diabetes Management Plan</p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>period</b>: 2025-04-10 --&gt; (ongoing)</p><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 306118006}\">Referral to endocrinology service</span></td><td>Not Started</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 103699006}\">Referral to dietitian</span></td><td>Not Started</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Status</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 43396009}\">Hemoglobin A1c measurement</span></td><td>Not Started</td></tr></table></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:intent [ fhir:v "plan"] ; #
      fhir:category ( [
        ( fhir:coding [
    a sct:736284000 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "736284000" ] ;
    fhir:display [ fhir:v "Diabetes clinical management plan" ]     ] )
      ] ) ; #
      fhir:title [ fhir:v "Diabetes Management Plan"] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2025-04-10"^^xsd:date ]
      ] ; #
      fhir:activity ( [
    fhir:detail [
    fhir:code [
            ( fhir:coding [
    a sct:306118006 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "306118006" ] ;
    fhir:display [ fhir:v "Referral to endocrinology service" ]         ] )       ] ;
    fhir:status [ fhir:v "not-started" ]     ]
      ] [
    fhir:detail [
    fhir:code [
            ( fhir:coding [
    a sct:103699006 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "103699006" ] ;
    fhir:display [ fhir:v "Referral to dietitian" ]         ] )       ] ;
    fhir:status [ fhir:v "not-started" ]     ]
      ] [
    fhir:detail [
    fhir:code [
            ( fhir:coding [
    a sct:43396009 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "43396009" ] ;
    fhir:display [ fhir:v "Hemoglobin A1c measurement" ]         ] )       ] ;
    fhir:status [ fhir:v "not-started" ]     ]
      ] ) . #

    <urn:uuid:92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0> a fhir:Procedure ;
      fhir:id [ fhir:v "92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"^^xsd:anyURI ;
    fhir:l <http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure 92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0</b></p><a name=\"92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0\"> </a><a name=\"hc92ffc1fd-71ff-4d54-bc06-25d9e1e1fea0\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/xtehr/StructureDefinition-procedure-eu-core.html\">Procedure (EU core)</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 313204009}\">Lifestyle education (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>performed</b>: 2025-04-05</p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "completed"] ; #
      fhir:code [
        ( fhir:coding [
    a sct:313204009 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "313204009" ] ;
    fhir:display [ fhir:v "Lifestyle education (procedure)" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:performed [
    a fhir:DateTime ;
    fhir:v "2025-04-05"^^xsd:date
      ] . #

    <urn:uuid:a74a3dca-92fa-4b71-8e70-89a07ac74bc3> a fhir:Procedure ;
      fhir:id [ fhir:v "a74a3dca-92fa-4b71-8e70-89a07ac74bc3"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"^^xsd:anyURI ;
    fhir:l <http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_a74a3dca-92fa-4b71-8e70-89a07ac74bc3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure a74a3dca-92fa-4b71-8e70-89a07ac74bc3</b></p><a name=\"a74a3dca-92fa-4b71-8e70-89a07ac74bc3\"> </a><a name=\"hca74a3dca-92fa-4b71-8e70-89a07ac74bc3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/xtehr/StructureDefinition-procedure-eu-core.html\">Procedure (EU core)</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 6143009}\">Diabetic education (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>performed</b>: 2025-04-04</p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "completed"] ; #
      fhir:code [
        ( fhir:coding [
    a sct:6143009 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "6143009" ] ;
    fhir:display [ fhir:v "Diabetic education (procedure)" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:performed [
    a fhir:DateTime ;
    fhir:v "2025-04-04"^^xsd:date
      ] . #

    <urn:uuid:53a8c3c3-5d1b-4950-87bc-fddae2ebc079> a fhir:Procedure ;
      fhir:id [ fhir:v "53a8c3c3-5d1b-4950-87bc-fddae2ebc079"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"^^xsd:anyURI ;
    fhir:l <http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_53a8c3c3-5d1b-4950-87bc-fddae2ebc079\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure 53a8c3c3-5d1b-4950-87bc-fddae2ebc079</b></p><a name=\"53a8c3c3-5d1b-4950-87bc-fddae2ebc079\"> </a><a name=\"hc53a8c3c3-5d1b-4950-87bc-fddae2ebc079\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/xtehr/StructureDefinition-procedure-eu-core.html\">Procedure (EU core)</a></p></div><p><b>status</b>: In Progress</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1340186004}\">Metformin therapy (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>performed</b>: 2025-04-04</p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "in-progress"] ; #
      fhir:code [
        ( fhir:coding [
    a sct:1340186004 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "1340186004" ] ;
    fhir:display [ fhir:v "Metformin therapy (procedure)" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:performed [
    a fhir:DateTime ;
    fhir:v "2025-04-04"^^xsd:date
      ] . #

    <urn:uuid:635c22e7-d7f1-45ad-9b4d-d4fe35239085> a fhir:FamilyMemberHistory ;
      fhir:id [ fhir:v "635c22e7-d7f1-45ad-9b4d-d4fe35239085"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"FamilyMemberHistory_635c22e7-d7f1-45ad-9b4d-d4fe35239085\"> </a><p class=\"res-header-id\"><b>Generated Narrative: FamilyMemberHistory 635c22e7-d7f1-45ad-9b4d-d4fe35239085</b></p><a name=\"635c22e7-d7f1-45ad-9b4d-d4fe35239085\"> </a><a name=\"hc635c22e7-d7f1-45ad-9b4d-d4fe35239085\"> </a><p><b>status</b>: Completed</p><p><b>patient</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">mother</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 430679000}\">Family history of diabetes mellitus type 2 (situation)</span></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "completed"] ; #
      fhir:patient [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:relationship [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-RoleCode>       ] ;
    fhir:code [ fhir:v "MTH" ] ;
    fhir:display [ fhir:v "mother" ]     ] )
      ] ; #
      fhir:condition ( [
    fhir:code [
          ( fhir:coding [
    a sct:430679000 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "430679000" ] ;
    fhir:display [ fhir:v "Family history of diabetes mellitus type 2 (situation)" ]       ] )     ]
      ] ) . #

    <urn:uuid:3fbdfbe1-9d70-47ec-ac05-3e30b063365a> a fhir:FamilyMemberHistory ;
      fhir:id [ fhir:v "3fbdfbe1-9d70-47ec-ac05-3e30b063365a"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"FamilyMemberHistory_3fbdfbe1-9d70-47ec-ac05-3e30b063365a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: FamilyMemberHistory 3fbdfbe1-9d70-47ec-ac05-3e30b063365a</b></p><a name=\"3fbdfbe1-9d70-47ec-ac05-3e30b063365a\"> </a><a name=\"hc3fbdfbe1-9d70-47ec-ac05-3e30b063365a\"> </a><p><b>status</b>: Completed</p><p><b>patient</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MGRMTH}\">maternal grandmother</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 430679000}\">Family history of diabetes mellitus type 2 (situation)</span></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "completed"] ; #
      fhir:patient [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:relationship [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-RoleCode>       ] ;
    fhir:code [ fhir:v "MGRMTH" ] ;
    fhir:display [ fhir:v "maternal grandmother" ]     ] )
      ] ; #
      fhir:condition ( [
    fhir:code [
          ( fhir:coding [
    a sct:430679000 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "430679000" ] ;
    fhir:display [ fhir:v "Family history of diabetes mellitus type 2 (situation)" ]       ] )     ]
      ] ) . #

    <urn:uuid:f0113857-b9b7-429b-8893-b645a38ae20a> a fhir:Observation ;
      fhir:id [ fhir:v "f0113857-b9b7-429b-8893-b645a38ae20a"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_f0113857-b9b7-429b-8893-b645a38ae20a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation f0113857-b9b7-429b-8893-b645a38ae20a</b></p><a name=\"f0113857-b9b7-429b-8893-b645a38ae20a\"> </a><a name=\"hcf0113857-b9b7-429b-8893-b645a38ae20a\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Body weight</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-01</p><p><b>value</b>: 109 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg = 'kg')</span></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "vital-signs" ] ;
    fhir:display [ fhir:v "Vital Signs" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:29463-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "29463-7" ] ;
    fhir:display [ fhir:v "Body weight" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2025-04-01"^^xsd:date
      ] ; #
      fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "109"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "kg" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>     ] ;
    fhir:code [ fhir:v "kg" ]
      ] . #

    <urn:uuid:065c918f-730a-47f8-938a-7ad54618037b> a fhir:Observation ;
      fhir:id [ fhir:v "065c918f-730a-47f8-938a-7ad54618037b"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_065c918f-730a-47f8-938a-7ad54618037b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 065c918f-730a-47f8-938a-7ad54618037b</b></p><a name=\"065c918f-730a-47f8-938a-7ad54618037b\"> </a><a name=\"hc065c918f-730a-47f8-938a-7ad54618037b\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Body weight</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-19</p><p><b>value</b>: 108 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg = 'kg')</span></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "vital-signs" ] ;
    fhir:display [ fhir:v "Vital Signs" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:29463-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "29463-7" ] ;
    fhir:display [ fhir:v "Body weight" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2025-04-19"^^xsd:date
      ] ; #
      fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "108"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "kg" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>     ] ;
    fhir:code [ fhir:v "kg" ]
      ] . #

    <urn:uuid:81783ae4-c36d-424f-8cea-fe7d3407a36b> a fhir:Observation ;
      fhir:id [ fhir:v "81783ae4-c36d-424f-8cea-fe7d3407a36b"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_81783ae4-c36d-424f-8cea-fe7d3407a36b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 81783ae4-c36d-424f-8cea-fe7d3407a36b</b></p><a name=\"81783ae4-c36d-424f-8cea-fe7d3407a36b\"> </a><a name=\"hc81783ae4-c36d-424f-8cea-fe7d3407a36b\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8302-2}\">Body height</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-01</p><p><b>value</b>: 177 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codecm = 'cm')</span></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "vital-signs" ] ;
    fhir:display [ fhir:v "Vital Signs" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:8302-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "8302-2" ] ;
    fhir:display [ fhir:v "Body height" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2025-04-01"^^xsd:date
      ] ; #
      fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "177"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "cm" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>     ] ;
    fhir:code [ fhir:v "cm" ]
      ] . #

    <urn:uuid:a19e48e1-2271-4cdb-9c76-b0626c7a5363> a fhir:Observation ;
      fhir:id [ fhir:v "a19e48e1-2271-4cdb-9c76-b0626c7a5363"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_a19e48e1-2271-4cdb-9c76-b0626c7a5363\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation a19e48e1-2271-4cdb-9c76-b0626c7a5363</b></p><a name=\"a19e48e1-2271-4cdb-9c76-b0626c7a5363\"> </a><a name=\"hca19e48e1-2271-4cdb-9c76-b0626c7a5363\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85354-9}\">Blood pressure panel with all children optional</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-01</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Systolic blood pressure</span></p><p><b>value</b>: 155 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 95 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "vital-signs" ] ;
    fhir:display [ fhir:v "Vital Signs" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:85354-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "85354-9" ] ;
    fhir:display [ fhir:v "Blood pressure panel with all children optional" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2025-04-01"^^xsd:date
      ] ; #
      fhir:component ( [
    fhir:code [
          ( fhir:coding [
    a loinc:8480-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "8480-6" ] ;
    fhir:display [ fhir:v "Systolic blood pressure" ]       ] )     ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "155"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "mmHg" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>       ] ;
    fhir:code [ fhir:v "mm[Hg]" ]     ]
      ] [
    fhir:code [
          ( fhir:coding [
    a loinc:8462-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "8462-4" ] ;
    fhir:display [ fhir:v "Diastolic blood pressure" ]       ] )     ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "95"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "mmHg" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>       ] ;
    fhir:code [ fhir:v "mm[Hg]" ]     ]
      ] ) . #

    <urn:uuid:fd7f7580-5788-45dd-88ec-dca615d69c7d> a fhir:Observation ;
      fhir:id [ fhir:v "fd7f7580-5788-45dd-88ec-dca615d69c7d"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_fd7f7580-5788-45dd-88ec-dca615d69c7d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation fd7f7580-5788-45dd-88ec-dca615d69c7d</b></p><a name=\"fd7f7580-5788-45dd-88ec-dca615d69c7d\"> </a><a name=\"hcfd7f7580-5788-45dd-88ec-dca615d69c7d\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85354-9}\">Blood pressure panel with all children optional</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-10</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Systolic blood pressure</span></p><p><b>value</b>: 150 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 90 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "vital-signs" ] ;
    fhir:display [ fhir:v "Vital Signs" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:85354-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "85354-9" ] ;
    fhir:display [ fhir:v "Blood pressure panel with all children optional" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2025-04-10"^^xsd:date
      ] ; #
      fhir:component ( [
    fhir:code [
          ( fhir:coding [
    a loinc:8480-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "8480-6" ] ;
    fhir:display [ fhir:v "Systolic blood pressure" ]       ] )     ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "150"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "mmHg" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>       ] ;
    fhir:code [ fhir:v "mm[Hg]" ]     ]
      ] [
    fhir:code [
          ( fhir:coding [
    a loinc:8462-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "8462-4" ] ;
    fhir:display [ fhir:v "Diastolic blood pressure" ]       ] )     ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "90"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "mmHg" ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>       ] ;
    fhir:code [ fhir:v "mm[Hg]" ]     ]
      ] ) . #

    <urn:uuid:67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6> a fhir:Observation ;
      fhir:id [ fhir:v "67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6</b></p><a name=\"67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6\"> </a><a name=\"hc67152b1b-0ffa-4b8f-8b6a-a3d71d4d58b6\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11367-0}\">History of Tobacco use</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-01</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 77176002}\">Current smoker</span></p><p><b>note</b>: </p><blockquote><div><p>Patient smokes a few cigarettes a day</p>\n</div></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "social-history" ] ;
    fhir:display [ fhir:v "Social History" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:11367-0 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "11367-0" ] ;
    fhir:display [ fhir:v "History of Tobacco use" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2025-04-01"^^xsd:date
      ] ; #
      fhir:value [
    a fhir:CodeableConcept ;
        ( fhir:coding [
    a sct:77176002 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "77176002" ] ;
    fhir:display [ fhir:v "Current smoker" ]     ] )
      ] ; #
      fhir:note ( [
    fhir:text [ fhir:v "Patient smokes a few cigarettes a day" ]
      ] ) . #

    <urn:uuid:bda0b497-c9f2-47ca-8339-da1d379cb2f4> a fhir:MedicationAdministration ;
      fhir:id [ fhir:v "bda0b497-c9f2-47ca-8339-da1d379cb2f4"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.eu/fhir/hdr/StructureDefinition/medicationAdministration-eu-hdr"^^xsd:anyURI ;
    fhir:l <http://hl7.eu/fhir/hdr/StructureDefinition/medicationAdministration-eu-hdr>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_bda0b497-c9f2-47ca-8339-da1d379cb2f4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration bda0b497-c9f2-47ca-8339-da1d379cb2f4</b></p><a name=\"bda0b497-c9f2-47ca-8339-da1d379cb2f4\"> </a><a name=\"hcbda0b497-c9f2-47ca-8339-da1d379cb2f4\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-medicationAdministration-eu-hdr.html\">MedicationAdministration (HDR)</a></p></div><p><b>status</b>: In Progress</p><p><b>medication</b>: <span title=\"Codes:{http://snomed.info/sct 765507008}\">Product containing precisely metformin hydrochloride 500 milligram/1 each prolonged-release oral tablet (clinical drug)</span></p><p><b>subject</b>: <a href=\"Bundle-HDR-Luigi-De-Luca-Example.html#urn-uuid-b01a2623-e219-41d2-8e78-1fa1439751d0\">Luigi De Luca Male, DoB: 1966-09-30 ( National unique individual identifier)</a></p><p><b>effective</b>: 2025-04-03 --&gt; (ongoing)</p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>500 mg, twice a day</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral route</span></td><td>500 mg</td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "in-progress"] ; #
      fhir:medication [
    a fhir:CodeableConcept ;
        ( fhir:coding [
    a sct:765507008 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "765507008" ] ;
    fhir:display [ fhir:v "Product containing precisely metformin hydrochloride 500 milligram/1 each prolonged-release oral tablet (clinical drug)" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0> ;
    fhir:reference [ fhir:v "urn:uuid:b01a2623-e219-41d2-8e78-1fa1439751d0" ]
      ] ; #
      fhir:effective [
    a fhir:Period ;
    fhir:start [ fhir:v "2025-04-03"^^xsd:date ]
      ] ; #
      fhir:dosage [
    fhir:text [ fhir:v "500 mg, twice a day" ] ;
    fhir:route [
          ( fhir:coding [
    a sct:26643006 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "26643006" ] ;
    fhir:display [ fhir:v "Oral route" ]       ] )     ] ;
    fhir:dose [
    fhir:value [ fhir:v "500"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "mg" ]     ]
      ] . #